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Raul Mendoza, PA-C
Medical Physician Assistant in Othello, Washington
NPI 1760805568

Raul Mendoza is a Medical Physician Assistant based in Othello, WA and is specialized in Medical. Raul Mendoza practices in Othello, WA and has the professional credentials of PA-C. The NPI Number for Raul Mendoza is 1760805568 and holds a License No. PA60425763 (Washington).

The current practice location address for Raul Mendoza is 1515 E Columbia St, Othello, WA and can be reached out via phone at 509-488-5256 and via fax at 509-488-9939.

Location: 1515 E Columbia St, Othello, WA, 99344-1846
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Provider Profile Details
NPI Number
1760805568
Provider Name
Raul Mendoza
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1515 E Columbia St, Othello, WA, 99344-1846
Phone Number
509-488-5256
Fax Number
509-488-9939
Provider Enumeration Date
01/29/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2034154 05 WA
institution
Provider Business Practice Location Address Details
Address
1515 E Columbia St
City
State
Zip
99344-1846
Phone Number
509-488-5256
Fax Number
509-488-9939
person
Provider Business Mailing Address Details
Address
1515 E Columbia St
City
State
Zip
99344-1846
Phone Number
509-488-5256
Fax Number
509-488-9939
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA60425763 (Washington)
Definition
Definition to come...
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